The process of gathering information to serve you both medically and financially can be lengthy.  We obtain as much information as possible when we schedule your appointment but it is necessary to complete the process when you arrive, we ask that you please arrive early for your appointment.

Below are links to several forms.  Completion of these forms prior to your arrival will hasten the process.

The Injury Intake form is a health history form.   It asks for information on how your injury occurred and some basic health information that may effect your treatment here.  Completion of this form will assist your physical therapist with your initial assessment.

For our all of our patients, in an effort to assist your physical therapist in determining your functional limitations, please complete one of the followings forms that is best applicable to you by circling the numbers that best apply.

     1) Neck

     2) Back (Lower and Mid)

     3) Upper Extremity (Shoulder to Hand)

     4) Lower Extremity (Hip to Foot)

The Authorizations form needs to be signed and dated and returned at your first visit.

If your injury is due to a Work Accident or Motor Vehicle Accident we will require information regarding the insurance company, your claim number, and your adjuster name.  Please complete the appropriate form and return at your first visit